Workshops Seek Clues to Health Disparity

Not Just Access to Health CareBETWEEN THE POOR AND THE AFFLUENT

Less income often means poorer health and a shorter life. People with lower socioeconomic status suffer more infant mortality, cancer, diabetes and cardiovascular disease. But why is that? Must it be? If, as it seems, the problem is not simply a lack of medical care, how can the health gap be closed?

Three regional workshops sponsored by the National Institute of Environmental Health Sciences(http://www.niehs.nih.gov) are trying to determine what research might answer these questions. The first of these workshops was held at Oakland, Calif., and the others will be in Baltimore, May 26-28 and Chicago, July 7-9.

Oakland participants ranged from a science center director to an artist concerned about health risks faced by people in the community. The Oakland workshop won strong support from attendees including Joan Reiss, public policy advocate with the Breast Cancer Fund. She sent a letter to NIH Director Harold Varmus, co-signed by 28 other participants, that said, "This is truly an agenda for the 21st Century."

Oakland workshop participants recommended development of a working definition of socioeconomic status, aka SES, development of more " low SES friendly" risk assessment instruments and investigations of individual variations in response to exposures.

NIEHS Director Kenneth Olden said, "Disparities are often taken for granted, but the people who come together for these workshops are not satisfied with that. We are looking for research directions that will help change these patterns for the better, so that poor health for less affluent people is no longer considered a given."

Breakout groups at the workshops discuss such things as air quality health risks, lead and other heavy metal exposures, agricultural chemical exposures, and community participation in research.

More information about the workshops and registration can be found at www.niehs.nih.gov/translat/hd/gap.htm (URL no longer available) or contact conference coordinator Michelle Beckner at (703) 902-1269.

NIEHS supports research to understand the effects of the environment on human health and is part of NIH. For more information on environmental health topics, visit http://www.niehs.nih.gov (http://www.niehs.nih.gov/index.cfm) . Subscribe to one or more of the NIEHS news lists ( http://www.niehs.nih.gov/news/newslist/index.cfm (http://www.niehs.nih.gov/news/newsroom/newslist/index.cfm) ) to stay current on NIEHS news, press releases, grant opportunities, training, events, and publications.

About the National Institutes of Health (NIH): NIH, the nation's medical research agency, includes 27 Institutes and Centers and is a component of the U.S. Department of Health and Human Services. NIH is the primary federal agency conducting and supporting basic, clinical, and translational medical research, and is investigating the causes, treatments, and cures for both common and rare diseases. For more information about NIH and its programs, visit http://www.nih.gov (http://www.nih.gov/).